ILLINOIS MENTOR

LOVES PARK, IL
NPI1396073565
Doing Business AsROCKFORD SITE 014025
Entity TypeOrganization
Authorized ContactVIVIANE NGWA
Executive Director
708-679-9137
Organization Subpart ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Additional Taxonomies251B00000X Case Management
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date2009-11-30
Last Update Date2009-11-30
Business Address
ILLINOIS MENTOR
6701 CLINTON RD
LOVES PARK, IL 61111-3863
Phone number: 815-282-6153
Mailing Address
ILLINOIS MENTOR
6701 CLINTON RD
LOVES PARK, IL 61111-3863
Phone number: 815-282-6153